Risk Factors

Symptoms

Peptic ulcers do not always cause symptoms. Symptoms may come and go. Food or fluids sometimes make symptoms better. Having an empty stomach may make symptoms worse. However, symptoms can occur at any time.

Lifestyle Changes

Avoid NSAIDs. This includes common over-the-counter drugs like aspirin and ibuprofen .

Surgery and Endoscopy

Surgery and/or endoscopy may be recommended for:

An ulcer that won't heal

Recurring ulcers

A bleeding ulcer

A perforated ulcer

Problems with food passing out of stomach

Endoscopy

This may be done to stop bleeding. A thin, lighted tube is inserted down the throat into the stomach or intestine. Heat, electricity, epinephrine, or a substance called fibrin glue can then be applied to the area. This should stop the blood flow.

Surgery

Surgery for peptic ulcers is rare, but it can greatly reduce acid production. Common procedures include:

Removal of the ulcer

Removal of part of the stomach or small intestine

Tying off the bleeding blood vessel

Taking tissue from another part of the intestine and oversewing the ulcer

Cutting part of the nerve that goes to the stomach to reduce acid production

Prevention

To help reduce your chance of H. pylori
infection:

Wash your hands after using the bathroom and before eating or preparing food.

Drink water from a safe source.

Do not smoke. Cigarette smoking increases the chances of getting an ulcer.

To help reduce your chance of a peptic ulcer from NSAIDs:

Use other drugs when possible for managing pain.

Take the lowest possible dose.

Do not take drugs longer than needed.

Do not drink alcohol while taking the drugs.

Ask your doctor about switching to medications less likely to cause ulcers. Talk to your doctor about taking other drugs to protect your stomach and intestine lining.

Do not smoke.
Cigarette smoking increases the chances of getting an ulcer.

Revision Information

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.